2120 E GRAND AVE 2019-03-22 - Laserfiche WebLink

/111Pid;:g ILLIECT ICAL PERMIT A1*LICATI N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2.120 E. (,.RPrN'D IRVE. BUILDING AREA(if residential,new construction,remodel,or addition) RES iDENrI AL SF • BUILDING TYPE: REI SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ IS o a NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: F(.EE-71? le AL. AF},L S 1...)"IP • CONTACT IINFORMATION. ; OWNER NAME: `j rn YC.o R N 1 C.1- o L S TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET p0 80A (I &) cnY C.gie K6 S1 EYE N S STATE W Pt ZIP S%2S Si OWNER PHONE: co 5 - SZ3 -125-} OWNER EMAIL: Tw N P NwCa (AM Pt I L• CnM CONTRACTOR NAME: 0 w N 6( CONTRACTOR ADDRESS: STREET • CRY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: I3 OWNER (0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: c10eN- r11'3_ 12.s-) TP 'L.O2 1s11 .t-kOLS CONTACT EMAIL: Tv...„ tJ prop., 0 U M'PtiL•cap" AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 107) PERMIT# — 14— 4-29- \-7 E [-10 ) ---i f Owner/Authorized Agent Signature Date (Revised 10/12/2015)